Cysteinyl leukotriene 2 receptor promotes endothelial permeability, tumor angiogenesis, and metastasis.

Duah, Ernest; Teegala, Lakshminarayan Reddy; Kondeti, Vinay; Adapala, Ravi K; Keshamouni, Venkateshwar G; Kanaoka, Yoshihide; Austen, K Frank; Thodeti, Charles K et al. · Proc Natl Acad Sci U S A · 2019

basic_science · Level V

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Abstract

Cysteinyl leukotrienes (cys-LTs) are proinflammatory mediators that enhance vascular permeability through distinct receptors (CysLTRs). We found that CysLT<sub>2</sub>R regulates angiogenesis in isolated mouse endothelial cells (ECs) and in Matrigel implants in WT mice and enhances EC contraction and permeability via the Rho-dependent myosin light chain 2 and vascular endothelial (VE)-cadherin axis. Since solid tumors utilize aberrant angiogenesis for their growth and metastasis and their vessels exhibit vascular hyperpermeability, we hypothesized that CysLT<sub>2</sub>R, via its actions on the endothelium, might regulate tumor growth. Both tumor growth and metastases of adoptively transferred syngeneic Lewis lung carcinoma (LLC) cells are significantly reduced in CysLT<sub>2</sub>R-null mice (<i>Cysltr2</i><sup>-/-</sup>) compared with WT and CysLT<sub>1</sub>R-null mice (<i>Cysltr1</i><sup>-/-</sup>). In WT recipients of LLC cells, CysLT<sub>2</sub>R expression is significantly increased in the tumor vasculature, compared with CysLT<sub>1</sub>R. Further, the tumor vasculature in <i>Cysltr2</i><sup>-/-</sup> recipients exhibited significantly improved integrity, as revealed by increased pericyte coverage and decreased leakage of i.v.-administered Texas Red-conjugated dextran. Administration of a selective CysLT<sub>2</sub>R antagonist significantly reduced LLC tumor volume, vessel density, dextran leakage, and metastases in WT mice, highlighting CysLT<sub>2</sub>R as a VEGF-independent regulator of the vasculature promoting risk of metastasis. Thus, both genetic and pharmacological findings establish CysLT<sub>2</sub>R as a gateway for angiogenesis and EC dysregulation in vitro and ex vivo and in an in vivo model with a mouse tumor. Our data suggest CysLT<sub>2</sub>R as a possible target for intervention.

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